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In-Flight Revalidation Application Required to Receive a Second or Third Extension

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The Texas Medicaid & Healthcare Partnership (TMHP) and the Texas Health and Human Services Commission (HHSC) are updating the revalidation due date extension process. Beginning February 1, 2026, HHSC is implementing additional criteria for second and third extensions.

Important: Providers should begin the revalidation process as soon as possible (up to 180 days before their revalidation due date) to ensure sufficient time to complete the process and maintain their enrollment status.

Note: “In-flight” refers to an application that the provider has completed in full and submitted through the Provider Enrollment and Management System (PEMS) but is not yet approved. This does not include applications that are in “Draft” status.

Revalidation Due Date Extension Criteria

There are no changes to the criteria for first-time revalidation extensions. Any provider that has not received a previous extension and has a revalidation due date on or before May 31, 2026, is eligible for an extension of 180 calendar days.

Beginning February 1, 2026, providers are only eligible for a second extension of 180 calendar days if they meet all of the following criteria:

  • Their current revalidation due date is on or before May 31, 2026 (based on already receiving one 180 calendar day extension).
  • The provider has submitted a revalidation application in PEMS (i.e., the application is in “in-flight” status) before their revalidation due date.

Beginning February 1, 2026, providers are only eligible for a third extension of 60 calendar days if they meet all of the following criteria:

  • Their current revalidation due date is on or before May 31, 2026 (based on already receiving two previous 180 calendar day extensions).
  • The provider has submitted a revalidation application in PEMS (i.e., the application is in-flight) before their revalidation due date.

Check PEMS for the Revalidation Due Date

PEMS will check daily for all providers that are due for revalidation the following calendar day. If a provider has not completed revalidation and meets the extension criteria, PEMS will automatically add the appropriate extension to the current revalidation due date.

The extension will be reflected in the Revalidation Due Dates column on the Provider Information page in PEMS. Providers will also receive an email notification confirming their new revalidation due date.

Important: A provider’s revalidation is not complete until their revalidation request is in “Closed - Enrolled” status. Submitting the revalidation request is the first step of the process. The revalidation request must then go through the review process and be approved by TMHP.

PEMS Revalidation and Reenrollment Resources

Providers may refer to the PEMS educational videos on TMHP’s Provider Enrollment & Management System playlist on YouTube, which includes the following:

The following resources provide more information about Medicaid provider revalidation requirements and common deficiencies to avoid:

For more information about the first revalidation extensions and retroactive enrollment period gap closures, refer to the article titled “Revalidation Due Dates and Retroactive Enrollment Period Gap Closures Extended” that was posted on December 12, 2025.

Providers can access the Provider Enrollment Help page or the PEMS Instructional Site on tmhp.com for additional revalidation or reenrollment support.

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.